DR. ELIJAH WILDER (D.O.) – Psychiatry Physician, NPI 1083976971
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,244 PSYCHIATRY in OH
Provider Addresses for DR. ELIJAH WILDER (D.O.)
234 GOODMAN ST
CINCINNATI, OH 452192364
Phone: (513) 558-7700
Fax: (513) 558-5055
Type: Location
285 BIELBY RD
LAWRENCEBURG, IN 470251055
Phone: (812) 537-1302
Type: Location
3131 Harvey Ave
Cincinnati, OH 452293000
Phone: (513) 585-8227
Fax: (513) 585-8278
Type: Location
3200 Burnet Ave
Cincinnati, OH 452293019
Phone: (513) 558-7700
Fax: (513) 558-5055
Type: Location
260 Stetson St
Cincinnati, OH 452192498
Phone: (513) 558-7700
Fax: (513) 558-5505
Type: Location
234 Goodman St
Cincinnati, OH 452192364
Phone: (513) 558-7700
Fax: (513) 558-5055
Type: Location
370 Cumberland Way
Madison, TN 371153170
Phone: (770) 502-5030
Type: Location
3130 Highland Ave
Cincinnati, OH 452192399
Phone: (513) 584-8753
Fax: (513) 558-5055
Type: Location
PO BOX 636256
CENTRAL CREDENTIALING ML 806
CINCINNATI, OH 452636256
Phone: (513) 585-5508
Fax: (513) 585-5511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170522002523 | I | Psychiatry | OH | TBD |
| I20201030001378 | I | Psychiatry | IN | TBD |
| I20240828002021 | I | Psychiatry | KY | TBD |
| I20240905000375 | I | Psychiatry | TN | TBD |
| I20250207000336 | I | Psychiatry | TX | TBD |
| I20250227003724 | I | Psychiatry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 12 | $0 |
Insurance plans in this area (ZIP 45219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| Nurse Practitioner | TX | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | FL | |
| Clinical Social Worker | TX | |
| Nurse Practitioner | FL |
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